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. 2021 Feb 25;16(2):e0247634.
doi: 10.1371/journal.pone.0247634. eCollection 2021.

Magnitude and predictors of poor glycemic control among patients with diabetes attending public hospitals of Western Ethiopia

Adugna Oluma  1 , Muktar Abadiga  1 , Getu Mosisa  1 , Werku Etafa  2
Affiliations

Magnitude and predictors of poor glycemic control among patients with diabetes attending public hospitals of Western Ethiopia

Adugna Oluma et al. PLoS One. .

Abstract

Background: Diabetes is one of the most prevalent non-communicable diseases globally, which rapidly is increasing in developing countries. Ethiopia is also facing growing morbidity and mortality related to diabetes complications. Thus, dealing with glycemic control is essential for controlling the development of devastating acute and chronic complications related to diabetes. Therefore, this study aims to assess the magnitude and predictors of poor glycemic control among diabetic patients in western Ethiopia.

Methods: The cross-sectional study design was employed on a sample of 423 diabetic patients. A systematic random sampling method was employed. An interviewer-administered structured questionnaire was used. The data entered into Epi data version 3.1 and exported into Statistical Package for the Social Sciences window version 24 for analysis. All variables significant at p-<0.25 in bivariate were entered into multivariate analysis. The multivariable logistic regressions were used to determine predictors' poor glycemic control by considering the Adjusted Odds Ratio at CI 95% and the significance level was set at p <0.05.

Results: The magnitude of poor glycemic control was 64.1%. Being females (AOR = 1.684,95%CI = 1.066,2.662), duration of diabetes >8years (AOR = 2.552,95%CI = 1.397, 4.665), presence of diabetes complication (AOR = 2.806,95%CI = 1.594,4.941), negligence of blood glucose test at home (AOR = 1.720, 95%CI = 1.078, 2.743), poor self-care behavior (AOR = 1.787, 95%CI = 1.083,2.959) and poor self-efficacy (AOR = 1.934, 95%CI = 1.078,3.469) were significant predictors of poor glycemic control.

Conclusion: The proportion of poor glycemic control was high which was nearly comparable to that reported from many countries. This could be due to factors that were significantly associated with poor glycemic control like lack of home blood glucose test, increased duration of diabetes, presence of diabetes complications, poor self-efficacy, and poor self-care behaviors. Each were significant independent predictors of poor glycemic control. Thus, we recommend patients with diabetes and health care providers enhancing self-monitoring practices, and preventing potential complications should be a priority concern to improve blood glucose levels. Further studies are also recommended to explore important factors which were not identified by the current study.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Prevalence of self-care behavior among patients with diabetes attending public hospitals of western Ethiopia.
Fig 2
Fig 2. The magnitude of glycemic control among patients with diabetes attending public hospitals of western Ethiopia.
See this image and copyright information in PMC

References

    1. American Diabetes Association. Diagnosis and Classification of Diabetes Mellitus; Diabetes Care, 2020; 43(9):562–66
    1. International Diabetes Federation. IDF Diabetes Atlas - 9th Edition; 2019. Available from www.idf.org/diabetesatlas - PubMed
    1. Kinfe G, Mulugeta B. Diabetes in Ethiopia. A systematic review of prevalence, risk factors of complication and cost. 10.1016/j.obmed.2019.100132 - DOI
    1. Mom Olja, Hentinen M. Adherence to self-care and glycemic control among people with insulin dependent diabetes mellitus. JAdvNurs.2001;34(1):780–86 - PubMed
    1. Khattab M, Khader YS, Al-Khawaldeh A, Ajlouni K: Factors associated with poor glycemic control among patients with type 2 diabetes. J Diabetes Complications; 2010, 24(2):84–9. 10.1016/j.jdiacomp.2008.12.008 - DOI - PubMed

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